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General NPI Number Information
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NPI Number | 1811274384
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Entity Type | Organization
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Legal Business Name | DIRECT HEALTHCARE SERVICES
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 530 HIGHLAND STATION DR SUITE 1005
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City | SUWANEE
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State | GA
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Zip | 30024-6571
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Country | US
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Telephone | 770-271-7440
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Fax | 770-271-7760
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Provider Business Mailing Address
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Address Line | 530 HIGHLAND STATION DR SUITE 1005
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City | SUWANEE
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State | GA
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Zip | 30024-6571
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Country | US
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Telephone | 770-271-7440
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Fax | 770-271-7760
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. MARTHA UCHE ANYAORAH
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Credential |
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Telephone | 770-271-7440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 067-R-0741
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 067-R-0741
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License Number State | GA
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